Category: King County

homelessness, human services, King County, Mayor Wilson, Uncategorized

Regional Homelessness Agency “Right-Sizing” Will Largely Restore Pre-KCRHA Status Quo

The announcement, which will send most homeless service contracts back to the city and county, aims to preserve federal funding at risk after a damning forensic audit and changes in funding priorities under Trump.

By Erica C. Barnett

King County Executive Girmay Zahilay and Seattle Mayor Katie Wilson announced Wednesday that they will transfer the region’s homelessness contracts back to the city and county, respectively, effectively ending the King County Regional Homelessness Authority as it has existed for the past five years.

Most of the region’s homeless service contracts, totaling around $160 million, will transition back to the city and county, where they used to live, by January 1, 2027, with some more complex contracts remaining at KCHRA on at least a temporary basis. As previously announced, the city and county will fund a team of consultants, from a company called Turning Point, to correct some of the major financial issues identified in the audit. The total cost, according to officials, will be under $1 million.

The KCRHA will continue to serve as the region’a Continuum of Care, the entity that applies for and administers federal funds, at least for this year. It will also oversee the Homeless Management Information System, a regional database of homeless people and the services they receive, administer the Point in Time Count of the region’s homeless population, and oversee the region’s severe weather shelters.

“It is not being dissolved, it is being strengthened,” Wilson said at a press conference Wednesday afternoon.

The changes will result in about 20 layoffs at KCRHA right away, officials said, with more to come in the future as the contracts move out. The decision to bring contracts back in-house will also result in some new costs for the city and county, especially while the KCRHA is still providing duplicative staffing, although officials said it’s currently unclear how much and what the impact will be on next year’s city and county budgets.

The KCRHA was recently subject to a damning forensic audit that found the agency had a large and growing deficit and lacked basic accounting standards; since then, the agency has released a “corrective action plan” that the auditors themselves said was  inadequate and failed to address many of their concerns.

The city and county are describing the new as a plan to “stabilize, right size, and reset” the KCRHA.

“This agency was given incredible responsibility without sufficient capacity or authority to really effectively create and drive an overall strategy for addressing the homelessness crisis in our region,” Wilson said at a press conference Wednesday afternoon, “and I think that the audit really reflects this reality—and also, of course, brings to light specific problems that have to be urgently addressed.”

Wilson and Zahilay both said moving all the homelessness contracts back to the city and county does not mean the KCRHA is a “failure” as an agency. “I think the assumption of city and county contracts by the KCRHA was not terribly successful,” Wilson said. “That’s not saying the agency was a failure, but I think that particular part of its function, talking to service providers, that was not a successful function of this work.”

On Wednesday, city and county officials characterized the decision to take back their contracts as a reset that will allow KCRHA to focus on its “true core function” of serving as the Continuum of Care for the region—that is, as the entity that applies for and administers federal contracts.

As PublicCola has reported, the federal Department of Housing and Urban Development issued a Notice of Funding Opportunity this year—the first step in a competitive bidding process for federal dollars—that prioritizes transitional housing and high-barrier programs that include mandatory services over permanent supportive housing and harm reduction.

Because most of the region’s current federal funding (around $67 million) is for low-barrier permanent supportive housing, KCRHA was already likely to lose federal funds; the recent chaos at the agency makes that even more likely. (HUD recently froze all federal funding with LA’s homelessness agency over financial issues that are similar to those at KCRHA).

City and county officials suggested today that moving the contracts back to the city and county would make the city competitive again. “Taking our local dollars back to the county and back to the city really will relieve KCRHA of that additional responsibility of administering those dollars to really focus at this point in time on the changes in the Continuum of Care and that core function,” Wilson’s deputy director for operations, Mark Ellerbrook, said.

The KCRHA was established at the end of 2019 to replace the previous, locally atomized homelessness system with a “regional approach to homelessness.” The agency began administering homeless service contracts in 2022, but never got around to accomplishing its primary stated goal—getting every city in King County aligned behind a coordinated approach to homelessness and issuing new contracts to nonprofit providers as part of a coherent “five-year plan.”  Instead, the KCRHA got mired in a series of ideological arguments and policy missteps, including an aborted pandemic era effort called “Partnership for Zero” that was supposed to end unsheltered homelessness downtown.

The city and county, meanwhile, were never willing to let go of control over what the homeless system looked like—whether, for example, the KCRHA should focus primarily on temporary shelter or permanent housing—and the agency ultimately turned into a pass-through entity for contracts chosen and funded by the city and county. With no taxing authority, KCRHA couldn’t direct homelessness policy in any substantive way, taking direction instead from a series of elected officials with differing political priorities.

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PubliCola has reported in recent weeks on the KCRHA’s oddly blithe response to the forensic audit and the mayor and county executive’s response to its corrective action plan. Both agency CEO Kelly Kinnison and William Towey, the KCRHA’s associate director for strategy, have publicly treated the audit findings as little more than a speed bump, and blamed most of the financial and accounting issues on the way the agency’s budget functions (as a reimbursement system, in which the agency pays nonprofit service providers and gets reimbursed afterward) and previous leadership.

On Wednesday, however, Kinnison said, “As it was launched, [KCRHA] is a failed experiment,” she said.

Given that Kinnison and Towey have largely blamed the agency’s problems on decisions made before Kinnison was hired in 2024, I asked if she saw any of the problems that resulted in today’s announcement as her responsibility. “Absolutely, there are always things I would do differently and prioritize differently,” she said. “Being a newcomer to the region, I think”—Kinnison moved here from D.C.—”was more challenging than maybe I even expected it to be.”

Otherwise, Kinnison said, she came in and took charge of a bad situation by hiring administrative staff and getting the agency into financial shape. If she could have done something different, Kinnison said, she would have “been louder” and “more public” about the agency’s financial issues—”I came in when we were not paying providers on time and people were doing payroll on credit cards”—and lack of finance and administrative staffing. “There’s decisions a reasonable person could have made that would have bene different, but this missing money and construction of the back end [financial system] that didn’t  work—that’s an implementation problem.”

Kinnison also reiterated her claim that she had asked the city to initiate a forensic audit into the agency after she arrived and began identifying problems that occurred under her predecessor, Marc Dones. The mayor’s office says that isn’t true, and that the city (under then-mayor Bruce Harrell) and county (under then-executive Dow Constantine) requested the audit. Simon Foster, the former KCRHA deputy CEO, reportedly also raised concerns about the agency’s finances to the city. Foster was laid off by Kinnison last October, as was KCRHA finance director James Rouse, who was not replaced.

City and county officials, as well as as Wilson and Zahilay, were reluctant to say what will happen to the KCRHA after the contracts move. “That’s what the broad stakeholdering is designed to do” over the coming year, Zahilay said. Kinnison’s future at the agency is also up in the air, and she stood at the back of the room, rather than front and center, as Zahilay and Wilson answered questions. In a joint statement after the announcement, King County Councilmember Rod Dembowski and Seattle City Councilmember Maritza Rivera—who both proposed dissolving the agency earlier this year—celebrated the news. “While this is not a complete dissolution of the Regional Homelessness Authority that we may have called for, it is a major step in the right direction,” they said. “This is a much-needed reset of how we manage our homelessness response.”

 

City Council, homelessness, King County, Mayor Wilson, Police

This Week on PubliCola: June 27, 2026

Discouraging homelessness numbers, SPD hiring debate, King County budget shenanigans, and much more.

By Erica C. Barnett

Monday, June 22

Allegation: Civil Rights Office Director, Staff Went to Strip Club During City-Sponsored Civil Rights Trip

A recently concluded investigation into Seattle Office for Civil Rights director Derrick Wheeler-Smith, which found Wheeler-Smith subjected a subordinate to “unwelcome conduct of a sexually explicit nature,” details allegations that Wheeler-Smith and several other men went to a strip club in Alabama during an official City of Seattle-sponsored trip to civil rights history sites in the South, PubliCola exclusively reported.

Tuesday, June 23

Report: Homelessness in King County Continues to Grow, with 21 Percent Increase in Unsheltered Homelessness Since 2024

The latest biennial count of the region’s homeless population, which has been based since 2022 on interviews and statistical sampling rather than a physical count, found that homelessness overall increased 9 percent—a data point the King County Regional Homelessness Authority characterized as good news because it represents a slowed pace of increase—but that unsheltered homelessness increased 21 percent, largely because of the closure of some family shelters.

Wednesday, June 24

County’s Midyear Budget Sparks Controversy Over Harm Reduction, Human Service Contracts, and Lobbyists

Three King County budget-related items in this Morning Fizz:

• First, County Councilmember Rod Dembowski’s proposal to defund a successful harm reduction program that connects drug users to services by offering safer smoking supplies will not move forward. After PubliCola broke the story last week, Dembowski replaced the proposal with a request for information on the program.

• Second, Dembowski’s proposal to add more process to every grant or contract issued through the county’s Best Starts for Kids program—subject of a recent high-profile audit—got scaled back to a level the county’s Department of Community and Human Services said it can live with. New grants and contracts will still require a letter to the county council making a number of financial and other guarantees about each program.

• Finally, a majority of the county council voted to retain the county’s longtime federal lobbyist for another year after County Executive Girmay Zahilay put out a request for proposals and hired a new lobbyist. Councilmembers accused Zahilay of taking unilateral action, which his office says isn’t true; in fact, they say, a council representative has been present at every step of the hiring process. The council decision to hire two separate lobbyists will cost the county about $200,000 a year.

Thursday, June 25

Mayor Hires Temporary New Comms Team; Councilmembers Tell SPD: Keep Hiring, We’ll Pay for It!

Thursday’s Fizz featured an exclusive about Mayor Katie Wilson’s decision to hire political consultant, podcaster, and KVRU Radio co-owner Crystal Nicole Fincher as well as longtime SDOT spokesperson Dawn Schellenberg to help craft a new communications strategy and fill in while the mayor finds a permanent new communications director, respectively.

And several members of the city council, including Rob Saka and Bob Kettle, rejected the idea of slowing down Seattle Police Department hiring, as suggested by SPD budget staff, in order to above going above budget this year and in next year’s budget. Saka suggested that slowing the pace of hiring would be tantamount to defunding the police.

Friday, June 26 How Do We Get Transit Champions on Transit Boards?

In a fascinating guest editorial, nondriver movement leader Anna Zivarts explores what it would take to get actual transit riders on the Sound Transit board, looking at how other cities have tackled the problem of transit agencies whose decision makers don’t represent or understand the challenges faced by people who rely on transit every day.

Also this week: Check out the latest episode of Seattle Nice, where we discussed the dramatic increase in unsheltered homelessness and the latest plan to address drug use and criminal activity around 12th and Jackson.

 

Drugs, human services, King County, Uncategorized

County’s Midyear Budget Sparks Controversy Over Harm Reduction, Human Service Contracts, and Lobbyists

1. After PubliCola reported on a King County Council supplemental budget amendment that would have prohibited spending county funds on safer smoking supplies for drug users, the proposal’s sponsor, Councilmember Rod Dembowski, decided to withdraw the amendment and replace it with one that simply requests more information on the program. It was a significant victory for harm reduction proponents, who pointed to data showing that the program provided access to services, including treatment, to tens of thousands of drug users last year.

The supplemental budget, usually a low-key affair, sparked a number of controversies  this time around.

During a work session before this week’s county council meeting, Dembowski said that in response to “feedback,” his amendment would “modify that language away from a strict cutoff to asking for some more information about the program. You know, how many supplies are being distributed? What is the cost? Who are they going to? What studies are out there? What assessments are out there? Give us some more information, and come back in a few months to let us know about the program.”

As we reported last week, the county spends a small amount—about $14,000 so far this year—on safe smoking supplies, plus some staff time for county employees who distribute pipes and foil at the county’s syringe exchange and to nonprofit groups that run their own syringe exchange programs.

Those programs had fallen largely into disuse as most drug users switched from injecting to smoking; the result was a sharp reduction in the number of people who accessed other county services that are a primary function of the program, such as case management, basic health care and STI testing, and referrals to treatment. Opponents of harm reduction have caricatured and demonized safer smoking programs in the Trump era, claiming that they “enable” drug users and encourage drug use.

2. The supplemental budget, adopted yesterday, also included a modified version of an amendment Dembowski proposed earlier this month that will add another layer of process to every new Best Starts for Kids contract. (Best Starts has been under fire for months after an audit and followup investigation found potential misuse of funds, and possible outright fraud, by some “high-risk” organizations that received contracts during and after the pandemic.)

The amendment adopted Tuesday will require the county’s Department of Community and Human Services to send a “notification letter” to the county council certifying that every new contractor has met a series of requirements— guaranteeing, for instance, that each individual contractor has sound financial systems and “qualified personnel” to administer the contract. Previously, the amendment would have also required such a letter for every contract amendment, which opponents said would have turned routine changes into lengthy administrative nightmares.

The amendment, like Dembowski’s original proposal, also requires contractors to attest that neither they, nor any person in a position to administer contracts, has ever lost a county contract because of misconduct or misuse of funds. But it provides a new out that wasn’t included in the original proposal: If the contractor has taken “all reasonable steps” to recover misused funds and can show that “adequate corrective action has been implemented,” the county can still contract with them.

Dembowski characterized every element of the amendment as “not unusual” or something that “shouldn’t be a challenge.” But critics of his amendment argued in public comment that it still creates more process without providing meaningful oversight, since the council is made up of elected officials, not contracting or financial experts.

Dembowski’s amendment doesn’t include a minimum contract size or explain how small organizations that may be new to government contracting are supposed to prove they already have financial controls and systems in place that will meet the new requirements.

3. Also Tuesday, the county council voted to retain the county’s current federal lobbying firm, Washington2 Advocates, for at least a year while also paying a new lobbying firm, Manatt, Phelps, & Phillips. The contract with Washington2 will be with the legislative branch, while the contract with Manatt will be with the county executive.

Tensions flared over the contract decision after King County Executive Girmay Zahilay hired Manatt through a request for proposals process without telling the council what they were doing, effectively canceling out a one-year option to retain Washington2 Advocates, run by longtime county lobbyist (and personal friend of some councilmembers) Jeff Bjornstad.

During Dow Constantine’s time as executive, the council and executive jointly approved the lobbying contract. So it was a surprise to some on the council when they learned that Zahilay had run a new bidding process and picked a new contractor. (After we published this post, the executive’s office reached out to let us know that the council’s government relations staff was aware of the RFP. “We communicated to all Councilmembers our desire to coordinate with them on this RFP before it went live in April,” the spokesperson said.)

“The renewal came up sort of abruptly—we weren’t notified until there was already an RFP put out by the executive branch to search for another contractor,” Councilmember Claudia Balducci told PubliCola Tuesday. “For a very long time, we hired a lobbyist and worked together across the branches very closely … so this was a little jarring.” It “didn’t help,” Balducci continued, that Zahilay “deleted the council from the RFP” itself, effectively cutting them out of the lobbying contract altogether. “We were told that wasn’t the intent, but this all happened very quickly.”

Zahilay’s office disputes this, saying the council is still “a receiver of the consultant’s services” and saying the contract has always been just with the executive branch.

Councilmember Teresa Mosqueda told PubliCola that the fact that Bjornstad didn’t apply in the executive’s competitive process was “a sign that he wasn’t interested in competing.” Mosqueda argued that the executive had the right to issue a lobbying contract, arguing at a Monday council pre-briefing that the decision “should not be about individual relationships that people have had with a contractor over X number of years. …  This is about how the county can best be represented in these immense times.”

Doubling up on lobbyists for a year will cost the county about $200,000.

Asked about the dustup with the council, a spokesperson for Zahilay said, “we are rebidding and refreshing all federal and state lobbyist contracts. As a new administration, we believe this is good practice.”

homelessness, King County

Report: Homelessness in King County Continues to Grow, with 21 Percent Increase in Unsheltered Homelessness Since 2024
Source: Point-In-Time Count executive summary, KCRHA

By Erica C. Barnett

The King County Regional Homelessness Authority released a high-level summary  of its biennial “point in time count” of the county’s homeless population Tuesday, after a delay of several weeks that gave the KCRHA time to add more context to the numbers in response to concerns from homeless advocates that the news looked too much like doom and gloom.

The KCRHA applies statistical sampling methods to interviews rather than doing a true “one-night count.” The report includes a housing and shelter inventory, which uses on data from the county’s Homeless Management Information System to determine the number of shelter beds and housing units in the system. Unlike most other jurisdictions, the KCRHA does its estimate every two years, rather than annually.

This year, the KCRHA estimated that there are 18,365 people experiencing homelessness in King County, of whom 11,829 were unsheltered. That’s up from 16,868 and 9,810 in 2024, respectively—a nine percent increase in overall homelessness, but a 21 percent increase in the number of people living unsheltered. Additionally, the report found that “the inflow into homelessness continues to outpace exits.” In other words: More people are becoming newly homeless or returning to homelessness than are getting (and staying) housed.

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Specifically, according to the report, around 17,000 people exit the county’s homelessness system, meaning that they stop using homeless services, while around 18,000 enter it.

The KCRHA changed the way it counts the Hispanic/Latino population this. year, which appears to have resulted in a spike in the Latino number and a reduction in the number of “white” people experiencing homelessness. (We’ve asked what accounts for the change). Twenty-four percent of people living homeless in King County identify as Latino (the same percentage as identify as Black), compared to less than 16 percent in 2024.  Every non-white racial group was overrepresented among the homeless population, including Native and Indigenous people, who make up 0.4 percent of the county population but 4.2 percent of all unhoused people in the county.

Overall, the number of shelter beds in the county declined by nearly 12 percent over the past year, going from 5,958 in 2025 to 5,269 in 2026, in part because of a disproportionate reduction in family shelter beds. At the same time, the number of permanent supportive housing units—permanently affordable apartments for people with disabilities, which currently includes severe addiction—increased by 155 last year and 561 in 2025.

A press release from the KCRHA characterized the growth in homelessness as a slowdown in the rate of increase, from 26 percent between 2022 and 2024 to 9 percent between 2024 and 2026. However, as noted above, the increase in people living unsheltered on the streets increased more dramatically than the overall number of people experiencing homelessness, suggesting that the increase in visible homelessness is directly tied to the declining availability of even basic shelter.

Drugs, education, homelessness, human services, King County, LGBTQ+

This Week on PubliCola: June 20, 2026
KCRHA associate director William Towey

KCRHA says the county and city owe it $8 million, county councilmember plans to eliminate successful harm reduction program, and much more.

By Erica C. Barnett

Monday, June 15

Regional Homelessness Agency Says King County and Seattle Owe It $8 Million

In a comment that came as a surprise to many on the county council, King County Regional Homelessness Authority associate director William Towey said the city and county owe the KCRHA $8 million—the same $8 million an audit found the agency couldn’t account for and that may need to be “written off.” KCRHA CEO Kelly Kinnison couldn’t be at the meeting because she was on vacation.

Tuesday, June 16

County Human Services Director Calls Councilmember’s Contract Approval Proposal an “Overstep”

King County Councilmember Rod Dembowski has proposed a budget amendment that would require the county’s Department of Community and Human Services (DCHS) to submit a letter for county council review every time they execute or make any amendment to a contract in the Best Starts for Kids program, which was subject to an audit that found potential fraud and abuse in a subset of “high-risk” contracts. DCHS director Susan McLaughlin said the idea was a vast “overreach” that would not improve oversight.

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Wednesday, June 17

County Councilmember Dembowski Wants to Defund Successful Harm Reduction Program

In a separate amendment, Dembowski has proposed eliminating all funding for a county program that distributes safer smoking supplies to drug users. Opponents of harm reduction have targeted the program, which the county credits with more than quadrupling the number of people who come in to clinics where they can (and do) access other services, including case management, STI testing, and treatment.

Thursday, June 18

Right-Wing Activist Accused of Assaulting Security Guard While Trying to Force His Way Into Pro-LGBTQ Event

Jonathan Choe, a former KOMO reporter who now works for the Discovery Institute and Turning Point USA, showed up to the campaign kickoff for No Hate in WA State and tried to force his way inside, allegedly hitting a security guard in the back of the head, according to a police report. The campaign is working to combat two anti-LGBTQ+ statewide initiatives, including one that would ban trans kids from playing sports.

Friday, June 19

Here’s What Being a “Child Care Candidate” Actually Means

In an op-ed directed at all the candidates who say they support universal child care, SEIU 925 political and legislative director Erin Haick lays out a road map for what that means in practice—standing firm against additional cuts, paying child care workers like the professional educators they are, and right-sizing subsidies so they actually make it possible for people to pay for child care.

Also this week:

  • On Seattle Nice, we interviewed DCHS director Susan McLaughlin about how DCHS is addressing the findings of a damning audit that found potential waste and abuse in programs aimed at helping youth, among other topics—like the future of the King County Regional Homelessness Authority.
  • I went on KUOW’s Week In Review this week, where KUOW reporter Scott Greenstone, Republican former city attorney Ann Davison, host Bill Radke and I discussed the news of the week, including a report from a downtown business group that says downtown is struggling and it’s all the fault of taxes on big business (spoiler: It isn’t.)
  • ICYMI, I was also on Crystal Fincher’s Hacks and Wonks podcast last week, where we talked about the city’s data center moratorium, the latest light rail ridership numbers, ongoing challenges the CARE Team of unarmed first responders face, mostly from the Seattle Police Department, and more.

 

Addiction, Drugs, King County

County Councilmember Dembowski Wants to Defund Successful Harm Reduction Program
Source: ADAI, University of Washington

By Erica C. Barnett

Earlier this month, King County Council budget chair Rod Dembowski quietly slipped an amendment into a nearly 400-page supplemental budget proposal that would prohibit the county from spending any money buying or distributing safer smoking supplies, such as pipes and foil, to drug users.

The county’s public health department only runs one needle exchange, where drug users can also access services and treatment medication, but the county distributes supplies to nonprofits that provide similar services, making the potential impact far more significant than the small amount—around $14,000— the county has spent so far this year on pipes and smoking supplies.

King County Public Health (KCPH) estimates that staff distribute safer smoking supplies at the downtown needle exchange for 15 to 20 hours a week, “translating to an estimated $83,000 annually for staff time,” according to KCPH spokeswoman Sharon Bogan. “During these interactions, staff are also connecting individuals with tools to prevent overdose, offering connections to treatment, and addressing client needs,” Bogan said.

King County hands out some of these supplies at its own needle exchange, downtown, and also distributes them to other organizations, including the Hepatitis Education Project and the People’s Harm Reducation Alliance.

Dembowski did not respond to several requests for an interview.

Opponents of harm-reduction approaches, such needle exchanges and the distribution of overdose reversal drugs, argue that making drug use safer merely “enables” drug users to stay addicted. The Trump administration has aggressively rejected harm reduction in favor of punitive approaches, including in recent policy guidance for federal shelter and housing funds.

King County, however, has long embraced harm reduction, which reduces the spread of infectious diseases like HIV and attracts drug users who would not otherwise come in contact with health care and treatment providers. The downtown needle exchange, for example, provides treatment referrals and “warm hand-offs” to the Pathways treatment clinic located in the same location; refers people to detox and medication-assisted treatment; provides case management and connections to housing, food and shelter; and hands out the overdose reversal drug Narcan, among other services.

“Distributing pipes and foil allows Public Health to build trust among people who use drugs. By building this trust, we can reduce preventable deaths, interrupt the spread of infectious diseases, and serve as a bridge to treatment and recovery,” Public Health’s Bogan said. “Discontinuing pipe and foil distribution means that we will lose our connections to people in our community who use smoking supplies and do not inject and who rely on our services.”

Source: ADAI, University of Washington

Caleb Banta-Green, a research professor at the University of Washington’s Addictions, Drugs, & Alcohol Institute (ADAI). said he “was saddened and surprised to see King County do something that appears to be following in the footsteps of the federal government’s really ill-informed approach.” When politicians actually visit harm reduction programs in person, he said, they often change their minds, “because it’s not just giving things to people. It is health promoting and it is literally about engagement and helping people.”

A survey ADAI conducted last year found that in 2025, opiate and meth users overwhelmingly switched from injecting drugs to smoking them, a change (compared to ADAI’s 2015 survey) that corresponded with a dramatic reduction in people showing up at sites that provided clean needles.

In King County, the reduction in injection drug consumption led to a reduction from 25,000 annual visits, or “encounters,” with the public needle exchange program to a low of 12,000 in 2022. After the county began handing out pipes and foil, that number rebounded, from 20,000 in 2023 to 60,000 in 2025, according to the county’s public health department.

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“There has been a dramatic shift in a decade from heroin to fentanyl, and from injecting to smokin—that is how people are consuming substances, and if we want to keep providing public health services for people who consume substances, we have to be adapting to that,” Banta-Green said.

Smoking from dirty or broken pipes, or using cheap, thin foil as a smoking surface, both pose their own safety risks, such as facial wounds and burns—making it a good idea for drug users to replace pipes and only use thick, high-quality foil. But coming in for safer supplies has another benefit, ADAI’s research found: It keeps people from injecting drugs, which is much riskier and can lead to abscesses, infections, and collapsed veins.

At needle exchange sites that didn’t offer smoking supplies, participants were far more likely to have injected drugs (70 percent) than at sites that offered smoking supplies (35 percent), according to the survey. At those same sites, 83 percent of participants said they would “like to get free, clean pipes or foils to smoke opioids, cocaine, or meth,” and 75 percent of the people who injected drugs but were interested safer smoking supplies said they would “inject less often”  if smoking supplies were available.

“All of the evidence points to the same thing, which is when you make smoking supplies available, people will inject less, and if you take smoking supplies away, people will start injecting more,” Banta-Green said.

The county council is scheduled to vote on the full supplemental budget next Tuesday.